Individual
MRS. JAMIE NICOLE TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHOP WOOD AMBULATORY CARE BLDG, 1ST FLOOR, PHILADELPHIA, PA 19104-4319
(215) 590-2208
(267) 426-2950
Mailing address
3401 CIVIC CENTER BLVD, CHOP WOOD AMBULATORY CARE BLDG, 1ST FLOOR, PHILADELPHIA, PA 19104-4319
(215) 590-2208
(267) 426-2950
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP014864
PA
Other
Enumeration date
11/12/2015
Last updated
09/27/2016
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